Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.39 / $79.39 / $158.78	Facility		$79.39	$79.39	$158.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.26 / $79.26 / $79.26	Professional		$79.26	$79.26	$79.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.47 / $142.66 / $359.56	Facility		$94.47	$142.66	$359.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.26 / $79.26 / $79.39	Professional		$79.26	$79.26	$79.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.77 / $79.26 / $79.26	Facility		$74.77	$79.26	$79.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.26 / $79.26 / $79.26	Professional		$79.26	$79.26	$79.26
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $83.16 / $128.72 / $244.64	Professional		$83.16	$128.72	$244.64
United Facility/Professional Professional Modifier Low / Median / High Price $79.26 / $79.26 / $114.93	Professional		$79.26	$79.26	$114.93
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $68.23 / $75.06 / $95.54	Professional		$68.23	$75.06	$95.54